Using an HIV Self-test Kit to Test a Partner: Attitudes and Preferences Among High-Risk Populations
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ORIGINAL PAPER
Using an HIV Self‑test Kit to Test a Partner: Attitudes and Preferences Among High‑Risk Populations Sarah Iribarren1 · Cody Lentz2 · Alan Z. Sheinfil2,3 · Rebecca Giguere2 · Javier Lopez‑Rios2,4 · Curtis Dolezal2 · Timothy Frasca2 · Iván C. Balán2 · Christine Tagliaferri Rael2 · William Brown III2,6,7,8 · Catherine Cruz Torres5 · Raynier Crespo5 · Irma Febo5 · Alex Carballo‑Diéguez2
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract For those most at risk of contracting HIV, new strategies for preventing transmission and increasing testing are needed. As part of a multi-site, randomized, controlled trial, we explored attitudes and preferences among 272 HIV-negative men who have sex with men and HIV-negative transgender women using an HIV self-testing (HIVST) kit to test partners. Less than one quarter had previously self-tested with HIVST kits (21.7%) and few had partner-tested (4.8%). Most preferred gum swab (96%) over fingerprick tests (69%), but would prefer a blood test if it gave results for other sexually transmitted infections (STIs) (86%). Five percent reported difficulties performing the test, four percent with storage, and 26% with portability. Ninety-three percent reported likelihood of using HIVST to test partners in future, but only 3% were willing to pay the current price. Efforts to improve HIVST uptake should focus on incorporating testing for other STIs, reducing test kit size, and reducing cost. Keywords HIV prevention · HIV self-testing · Transgender · Men who have sex with men Resumen Se necesitan nuevas estrategias para prevenir la transmisión del VIH e incrementar el testeo para aquellos con mayor riesgo al contagio. Como parte de un ensayo controlado aleatorio (ECA) multicentrico, exploramos las actitudes y preferencias entre 272 hombres VIH-negativos que tienen sexo con hombres y mujeres transgenero VIH-negativos que utilizaron kits del auto-test para el VIH (HIVST) para testear a sus parejas. Menos de una cuarta parte de los participantes había utilizado HIVST para auto-testearse (21.7%), y solo pocos para testear a sus parejas (4.8%) antes del comienzo del estudio. El hisopo bucal fue preferido (96%) sobre una prueba con un pinchazo de sangre (69%) por la mayoría de los participantes pero estos preferirían la prueba de sangre si puedieran obtener resultados para otras enfermedades de transmisión sexual (ETS) (86%).
* Sarah Iribarren [email protected]
5
Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico
1
6
Department of Medicine, Center of AIDS Prevention Studies, University of California San Francisco, San Francisco, USA
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Department of Medicine, School of Medicine, Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, San Francisco, USA
8
Bakar Computational Health Science Institute, University of California San Francisco, San Francisco, USA
Biobehavioral Nursing and Health Informatics,
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